Mattie Bowden represents health care providers when payor conduct threatens reimbursement through in-network and out-of-network underpayments, improper denials, downcoding, algorithmic price-fixing, recoupment demands, administrative appeals and managed care litigation. She handles commercial payor disputes and complex reimbursement matters involving ERISA, Medicare Advantage, the Medicare Secondary Payer Act and provider-payor contract disputes.

Mattie represents providers nationwide in state and federal courts through all phases of litigation, including early case assessment, strategy, discovery, dispositive motion practice, depositions, trial, settlement negotiations, mediations and appeals. She develops litigation and administrative appeal strategies for providers seeking to recover reimbursement and reduce ongoing risk from evolving payor practices.

Her practice includes high-stakes reimbursement disputes involving failures to reimburse in accordance with contractual and statutory requirements, improper claim denials, underpayments, downcoding, bundling practices, reimbursement reductions and recoupment actions. She also addresses threshold and dispositive issues common in payor litigation, including anti-assignment provisions, standing challenges, federal preemption and coordination of benefits.

Mattie represents hospitals, health systems, physician groups, and specialty and ancillary services providers in disputes against national and regional insurers and government payors. Her experience also includes representing regulated entities and trade associations in complex litigation under the Administrative Procedure Act, including matters involving regulatory frameworks administered by the EPA, FDA and USDA.

Licensed in D.C. and North Carolina, not licensed in South Carolina. Practicing under supervision of South Carolina licensed attorney.